ANCC FNP BOARD QUESTIONS WITH CORRECT ANSWERS 2025

ANCC FNP BOARD QUESTIONS WITH
CORRECT ANSWERS 2025
ABmiddle-
ageBfemaleBpatientBpresentsBtoBtheBclinicBwithBaBrecurrenceBofBmildBhidradenitisBsuppurativaBafterBtopicalB
therapiesBfailed.BWhichBfirst-lineBtreatmentBisBrecommended?B-BCORRECTBANSWERB-Tetracycline

TwelveBweeksBofBoralBtetracyclineB(Sumycin)BisBtheBrecommendedBfirst-
lineBtreatmentBforBhidradenitisBsuppurativa.



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HidradenitisBsuppurativaBisBaBdisorderBofBtheBterminalBfollicularBepitheliumBinBapocrineBgland-
bearingBskin.BItBisBaBchronic,BdisablingBdisorderBthatBprogresses,BoftenBcausingBkeloids,Bcontractures,BandBi
mmobility.BItBisBcharacterizedBbyBcomedone-
likeBfollicularBocclusion,BchronicBandBrelapsingBinflammation,BmucopurulentBdischarge,BandBprogressiveBsc
arring.

ArthropathyBassociatedBwithBhidradenitisBmayBbeBpresent.BTypicalBpresentationBincludesBnodulesBandBsin
usBtractsB(inflamedBorBnoninflamed),Babscesses,BandBscarringBfoundBinBtheBaxilla,BgenitofemoralBarea,Bperi
neum,BglutealBarea,BandBinframammaryBareaBinBwomen.

RecommendedBtreatmentsBincludeBantibiotics,Bsteroids,Bretinoids,Bdapsone,BandBanti-
tumorBnecrosisBfactorBagents.BABdermatologyBconsultationBshouldBalsoBbeBconsidered.

First-
lineBtreatmentBisBaB12-weekBcourseBofBanBoralBtetracyclineB(Sumycin)BsuchBasBdoxycycline.BForBpatientsBwh
oBdoBnotBrespondBtoBdoxycycline,BtheBnextBrecommendedBstepBisBaBcombinationBofBtwice-
dailyBclindamycinB(Cleocin)BandBrifampicinB(Rifadin)BforB10-
12Bweeks.BIfBtreatmentBfails,BacitretinB(Soriatane,BforBmalesBandBnonfertileBfemales)BorBdapsoneB(Aczone)B
mayBbeBconsideredBbyBaBdermatologist.BInBpatientsBwithBmoderateBtoBsevereBhidradenitisBsuppurativa,Bad
alimumabB(Humira)BmayBpossiblyBbeBconsidered.



WhenBprovidingBculturallyBcompetentBhealthBcareBservicesBtoBanBAmericanBIndianBelder,BtheBnurseBpractiti
onerBunderstandsBwhichBisBtraditionallyBtrue?B-BCORRECTBANSWERB-
TheB"MedicineBWheel"BisBusedBbyBmanyBforBtheBpurposeBofBhealthBandBhealing

TheB"MedicineBWheel"BisBtraditionallyBusedBandBcontainsBfourBdirections;Bnorth,Bsouth,Beast,BandBwest.BTr
aditionallyBeachBtribeBhasBdifferentBmeaningsBforBeachBdirectionBandBtheyBmayBrepresentBtheBseasonBofBth
eByearBorBstageBofBlife.BItBisBaimedBatBprovidingBaBholisticBviewBofBlife.

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AnBunderstandingBofBdifferentBculturalBpreferencesBleadsBtoBculturalBcompetenceBinBhealthcare.BSomeBpat
ientsBmayBvalueBtraditionalBcultureBandBpreferencesBasBitBrelatesBtoBhealthcare.BTheseBindividualBpreferen
cesBshouldBbeBincludedBinBtheBinterviewBandBtreatmentBplanBforBpatients.

Traditionally,BtheBAmericanBIndianBcultureBvaluesBaBholisticBapproachBtoBhealthBcareBintegratingBtheBperso
n,Blifestyle,Benvironment,Bfamily,BandBreligion.BPatientsBadheringBtoBtheseBtraditionalBculturalBpracticesBoft
enBfeelBthatBillnessBisBdueBtoBaBlackBofBharmonyBwithBtheBphysicalBbody,Bmind,Bspirit,BandBemotions.BPatien
tsBmayBseekBcareBfromBwesternBmedicineBforBspecificBailmentsBwhileBalsoBconsultingBwithBtraditionalBheal
ersBforBspiritualBguidance.

HealthcareBprovidersBshouldBseekBtoBunderstandBrelevantBculturalBfactorsBandBassessBeachBindividual'sBhe
althcareBliteracyBinBorderBtoBprovideBculturallyBcompetentBcare.



TheBnurseBpractitionerBseesBanBolderBadultBpatientBinBtheBclinicBwithBtheBprimaryBreportBofBhearingBlossBan
dBaBsensationBofBfullnessBinBtheBrightBear.BTheBnurseBpractitionerBsuspectsBconductiveBhearingBloss.BWhichB
couldBcontributeBtoBthis?B-BCORRECTBANSWERB-
Cerumen,BcommonlyBcalledBearwax,BisBaBcombinationBofBsecretionsBandBsloughedBepithelialBcellsBthatBpro
tectsBtheBearsBfromBinfection,Bwater,BandBinsects.BItBisBnormallyBexpelledBfromBtheBearBcanalBthroughBnatur
alBjawBmovement.BWhenBthisBself-
cleaningBprocessBfails,BcerumenBcanBbecomeBimpacted.BCerumenBimpactionBoccludesBtheBearBcanalBandBc
anBpressBagainstBtheBtympanicBmembrane,BresultingBinBconductiveBhearingBloss.



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ConductiveBhearingBisBtheBtransitionBofBsoundBfromBtheBexternalBandBmiddleBearBtoBtheBinnerBear.BConduc
tiveBhearingBlossBisBcausedBbyBproblemsBinBtheBexternalBandBmiddleBearBthatBinterfereBwithBtheBtransmissi
onBofBsoundBandBitsBconversionBtoBmechanicalBvibration.BCausesBofBconductiveBhearingBlossBincludeBobstr
uctionBofBtheBexternalBauditoryBcanalBbyBcerumen,BforeignBbodies,BdebrisBfromBotitisBexterna,BandBlargeBex
ocytosisBandBosteomas.

SensorineuralBhearingBlossBinvolvesBdifficultyBconvertingBmechanicalBvibrationsBtoBelectricalBpotentialBinBt
heBcochleaBorBinBauditoryBnerveBtransmissionBtoBtheBbrain.BItBisBmostlyBcausedBbyBpermanentBdamageBinBt
heBorganBofBCorti.BItBcanBbeBcausedBbyBage-
relatedBhearingBloss,BnoiseBtrauma,Bmedications,BautoimmuneBdiseases,BmechanicalBtrauma,BMeniereBdis
ease,Binfection,BandBneoplasmB(acousticBneuroma).

ApproximatelyBone-
thirdBofBolderBadultsBbetweenBtheBagesBofB61BandB70ByearsBhaveBhearingBloss.BMoreBthanB90%BofBadultsBol
derBthanB85ByearsBofBageBhaveBhearingBloss.BTheBmostBcommonBtypeBofBhearingBlossBisBage-

, relatedBandBsensorineural.BAllBadultsBolderBthanB60ByearsBofBageBshouldBbeBscreenedBforBhearingBlossBatBp
eriodicBhealthBexaminations.



AnBotherwiseBhealthyBadultBpatientBpresentsBtoBtheBclinicBwithBaBdiagnosisBofBcommunity-
acquiredBpneumoniaBandBnoBrecentBantibioticBtherapy.BWhichBisBtheBbestBoptionBforBtreatment?B-
BCORRECTBANSWERB-Amoxicillin



High-doseBamoxicillinB(Amoxil)BorBdoxycyclineBareBrecommendedBasBfirst-
lineBtherapyBforBadultsBwithoutBcomorbidities.



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Community-acquiredBpneumoniaB(CAP)BisBpneumoniaBnotBacquiredBinBaBhospitalBorBlong-
termBcareBfacility.BPatientsBwithBsuspectedBCAPBshouldBreceiveBaBchestBX-
rayBforBdiagnosis.BTheBPneumoniaBSeverityBIndexBshouldBbeBusedBtoBassistBinBdecisionsBregardingBtheBneed
BforBhospitalizationBinBpatientsBwithBCAP.



AccordingBtoBtheBAmericanBThoracicBSocietyB(ATS)BandBtheBInfectiousBDiseasesBSocietyBofBAmericaB(IDSA)B
2019Bguidelines,BtheBinitialBtreatmentBofBCAPBforBmostBpatientsBisBamoxicillinBorBdoxycycline.BMacrolidesBa
reBanBoptionBforBtreatment,BbutBareBnoBlongerBrecommendedBroutinelyBasBfirst-
lineBtreatment,BgivenBincreasedBmacrolideBresistance.BThisBisBaBchangeBfromBtheB2007BATS/IDSABguideline
s.BRespiratoryBfluoroquinolonesBandBamoxicillin/clavulanateBshouldBbeBusedBinBpatientsBwhoBfailBfirst-
lineBmedications,BhaveBsignificantBcomorbidities,BhaveBhadBrecentBantibioticBtherapy,BareBallergicBtoBaltern
ativeBagents,BorBhaveBaBdocumentedBinfectionBwithBhighlyBdrug-resistantBpneumococci.



ABpatientBpresentsBtoBtheBclinicBforBconceptionBcounseling.BSheBrecentlyBstoppedBtakingBoralBcontraceptiv
esBandBwouldBlikeBtoBbecomeBpregnant.BWhichBstatementBaboutBconceptionBsafetyBafterBstoppingBoralBco
ntraceptivesBisBcorrect?B-BCORRECTBANSWERB-



YouBhaveBaB35-year-
oldBfemaleBpatientBwhoBisBcomplainingBofBwristBpain.BSheBisBanBadministrativeBassistantBwhoBdoesBaBgreatB
dealBofBcomputerBworkBinBherBjob.BYouBwillBtestBherBforBcarpalBtunnelBsyndrome.BWhenByouBtapBatBtheBvol
arBsurfaceBofBtheBwristByouBareBperformingBwhichBofBtheBfollowingBtests?B-BCORRECTBANSWERB-Tinel'sBsign



ABgastrinomaBlocatedBonBtheBpancreasBorBtheBstomachBwhichBsecretesBgastrin,BstimulatingBhighBlevelsBofBa
cidBproductionBinBtheBstomachBisBwhichBofBtheBfollowing?B-BCORRECTBANSWERB-Zollinger-EllisonBsyndrome